Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.47 / $336.75 / $1,961.00	Professional		$317.47	$336.75	$1,961.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $126.17 / $131.81 / $872.89	Professional	26	$126.17	$131.81	$872.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $185.65 / $199.33 / $1,500.65	Professional	TC	$185.65	$199.33	$1,500.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $237.66 / $237.66 / $293.80	Facility	26	$237.66	$237.66	$293.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.33 / $465.97 / $724.55	Professional		$360.33	$465.97	$724.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $159.31 / $173.66 / $289.47	Professional	26	$159.31	$173.66	$289.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $201.02 / $292.31 / $486.89	Professional	TC	$201.02	$292.31	$486.89
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $237.66 / $237.66 / $293.80	Facility	26	$237.66	$237.66	$293.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $431.23 / $574.42 / $838.25	Professional		$431.23	$574.42	$838.25
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $159.31 / $237.66 / $375.16	Professional	26	$159.31	$237.66	$375.16
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $201.02 / $329.41 / $768.58	Professional	TC	$201.02	$329.41	$768.58
United Facility/Professional Professional Modifier Low / Median / High Price $448.00 / $521.95 / $733.31	Professional		$448.00	$521.95	$733.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $189.31 / $196.24 / $275.70	Professional	26	$189.31	$196.24	$275.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $258.69 / $325.70 / $457.61	Professional	TC	$258.69	$325.70	$457.61